Active NPI
Chris Douglas Hall, ATC, MED
- Athletic Trainer
- Munster, IN
National Provider Identifier
1396015996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 36001167A
- Practice address
- 1950 45TH Ave
Munster, IN 46321-3927 - Phone
- (219) 922-8188
- NPI assigned
- Jan 12, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 36001167A | IN | Primary |
Addresses
Primary practice location
1950 45TH Ave
Munster, IN 46321-3927
Mailing address
2101 Sherwood Lake Drive
Apt. 3a
Schererville, IN 46375-2724
Phone (219) 576-4599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36001167A | IN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326326400000",
"number": "1396015996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 SHERWOOD LAKE DRIVE",
"address_2": "APT. 3A",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "463752724",
"telephone_number": "219-576-4599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 45TH AVE",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463213927",
"telephone_number": "219-922-8188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "CHRIS",
"middle_name": "DOUGLAS",
"credential": "ATC, MED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-12",
"last_updated": "2012-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": "36001167A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.